HESI 1 - V1 and V2 REVIEW - Health
Assessment 1 Questions and Answers
| Latest Version | 2025/2026 | Correct &
Verified
What is the normal range for adult resting heart rate?
✔✔60–100 beats per minute
During a physical assessment, where is the best place to auscultate the apical pulse?
✔✔Fifth intercostal space at the midclavicular line
What is the correct technique for assessing a client’s radial pulse?
✔✔Use the pads of your index and middle fingers, apply light pressure, and count for 30–60
seconds
When inspecting the skin, which finding indicates jaundice?
✔✔Yellowing of the skin and sclera
What is the appropriate method to assess a client’s respiratory rate without their awareness?
1
,✔✔Observe chest rise and fall for one full minute while the client is unaware
What is the correct position to assess the posterior thorax and lungs?
✔✔Client sitting upright with arms crossed in front of the chest
Which cranial nerve is tested by asking the client to shrug their shoulders against resistance?
✔✔Spinal accessory nerve (cranial nerve XI)
What finding is considered abnormal when palpating lymph nodes?
✔✔Tender, hard, immobile, or enlarged lymph nodes
How do you test a client’s visual acuity for distance?
✔✔Use a Snellen chart placed 20 feet from the client, cover one eye at a time, and read the
smallest line they can see
What is the normal range for adult blood pressure?
✔✔Systolic 90–120 mmHg, diastolic 60–80 mmHg
2
, When assessing the abdomen, in which order should the nurse perform the techniques?
✔✔Inspection, auscultation, percussion, palpation
Which assessment finding suggests clubbing of the nails?
✔✔Nail base angle greater than 180 degrees with spongy nail bed
What is the normal finding when auscultating heart sounds at the apex?
✔✔Lub-dub (S1 and S2) without murmurs or extra sounds
Which assessment technique is used to evaluate for fluid in the lungs?
✔✔Auscultation of lung fields for crackles or rales
What is the correct technique to assess capillary refill?
✔✔Press the nail bed for 2 seconds and release; color should return within 2 seconds
Which part of the stethoscope is used to auscultate high-pitched heart and lung sounds?
✔✔Diaphragm
3
Assessment 1 Questions and Answers
| Latest Version | 2025/2026 | Correct &
Verified
What is the normal range for adult resting heart rate?
✔✔60–100 beats per minute
During a physical assessment, where is the best place to auscultate the apical pulse?
✔✔Fifth intercostal space at the midclavicular line
What is the correct technique for assessing a client’s radial pulse?
✔✔Use the pads of your index and middle fingers, apply light pressure, and count for 30–60
seconds
When inspecting the skin, which finding indicates jaundice?
✔✔Yellowing of the skin and sclera
What is the appropriate method to assess a client’s respiratory rate without their awareness?
1
,✔✔Observe chest rise and fall for one full minute while the client is unaware
What is the correct position to assess the posterior thorax and lungs?
✔✔Client sitting upright with arms crossed in front of the chest
Which cranial nerve is tested by asking the client to shrug their shoulders against resistance?
✔✔Spinal accessory nerve (cranial nerve XI)
What finding is considered abnormal when palpating lymph nodes?
✔✔Tender, hard, immobile, or enlarged lymph nodes
How do you test a client’s visual acuity for distance?
✔✔Use a Snellen chart placed 20 feet from the client, cover one eye at a time, and read the
smallest line they can see
What is the normal range for adult blood pressure?
✔✔Systolic 90–120 mmHg, diastolic 60–80 mmHg
2
, When assessing the abdomen, in which order should the nurse perform the techniques?
✔✔Inspection, auscultation, percussion, palpation
Which assessment finding suggests clubbing of the nails?
✔✔Nail base angle greater than 180 degrees with spongy nail bed
What is the normal finding when auscultating heart sounds at the apex?
✔✔Lub-dub (S1 and S2) without murmurs or extra sounds
Which assessment technique is used to evaluate for fluid in the lungs?
✔✔Auscultation of lung fields for crackles or rales
What is the correct technique to assess capillary refill?
✔✔Press the nail bed for 2 seconds and release; color should return within 2 seconds
Which part of the stethoscope is used to auscultate high-pitched heart and lung sounds?
✔✔Diaphragm
3
